| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1205990041 | ICCO LLC | 1292 HIGH STREET | EUGENE | OR | 97401 | |||
| 1871595298 | POWELL | MICHAEL | M | PO BOX 1571 | COTTAGE GROVE | OR | 974240066 | |
| 1679636484 | WEIH | HANS | EDWIN | 78075 HIGH PRAIRIE RD | OAKRIDGE | OR | 974639603 |